=ABSCESS.(Including Infections, Suppurations, Cellulitis, etc.)#Belladonna [Bell]is the remedy most often indicated for the initatory symptoms ofabscess. The parts ***swell rapidly, become bright red, there isintense throbbing which is painful,pus develops speedily the swellingincreases and the redness radiates; here *Belladonna is in closerelation with *Hepar and *Mercurius. It comes in earlier than eitherof these remedies and corresponds more closely to the ***active,sthenic variety of abscess before pus is matured. In abscesses aboutthe alveolar processes, the so called gum boils, **Belladonna is oftenthe first remedy and **Mercurius follows here in most cases. In acuteglandular abscess **Belladonna is often indicated and is a beginningremedy. **Chamomilloa is not a remedy to suggest itself in abscess,yet has proved valuable in promoting the formation of pus in chronicabscesses where **Hepar has failed to act promptly, and in making thepains more bearable.#Hepar sulphur. [Hep]is the great homoeopathic remedy for suppurations where the pus isnot decomposed. It suits especially lymphatic, phlegmatic individuals.***Excessive sensitiveness of the parts is a leading indication.It is further indicated by these symptoms: chilly sensations, throbbingin the parts, or ***sharp, sticking pains which are worse at night andfrom If given low in threatening suppuration it will favor the formationof pus. The suppurative process will often be aborted by **Hepar ifgiven in the higher potencies. Such abscesses as felon or whitlowgenerally do well under **Hepar. If there be a bruised pain present,sometimes **Arnica may do good. There are two other preparationssimilar to **Hepar; calcium sulphide, which is the chemically purearticle, has never been proved, hence we must regard it only as amakeshift for *Hepar, and Calcarea sulphurica.The last remedy has been found useful in cases of abscess where thesuppuration seems to continue indefinitely. The presence of pus witha **vent has been considered a good indication; it comes in after**Silicea, and suits painful abscesses about the anus, and is a mostuseful remedy in gum boils. Dr. W. E. Leonard claims that in the 12xit will abort felons and furuncles.#Silicea [Sil]is the remedy where the suppuration continues and the wound refusesto heal, no matter where the suppurative process is located;the pus is apt to be thin,watery,and the process is sluggish and
indolent one. Under **Silicea the suppurative process takes on ahealthy action , the pus becomes benign, granulation appear.It is then time to stop the remedy, for if it be continued it mayundo the good it has done,and another remedy, probably **Fluoricacid ,will have to be given. This remedy antidotes the overuse of**Silicea. **Silicea is usually prescribed after an abscess hasbeen lanced or opened by means of poultice. Warmth is very gratefulto the **Silicea patient.**Fluoric acid has relief from cold. Abscesses having ***much cellularinfiltration in their vicinity call for Silicea. It, too,is a remedyfor all fistulous burrowings. In rectal fistula it is very often theremedy; great nervous erethism, if present, is an additional.There is often considerable foetor to the discharge of **Siliceacases. Scrofulous and tubercular abscesses especially call for**Silicea.#Mercurius. [Merc]Differing from **Belladonna, from **Hepar, and especially from**Silicea is Mercurius, which is one of our good remedies in abscess.It comes in after **Belladonna, when pus has formed.It favors the formation of pus especially in the lower potencies,and is especially indicated in ***glandular abscesses; the pus isgreenish in tint, and quite thin and fluid. There is intense, shiningredness with throbbing and stinging pains. It does not follow Siliceawell.From *Hepar it is to be distinguished by general symptoms; then, too,the suppurative process is slower, and all the pains are greatlyaggravated at night. In abscesses at the **roots of the teeth it isone of our best remedies, and it is often efficacious in toothache dueto this cause. It will often abort suppuration when used in the highestpotencies, as in tonsillitis, where it is a most valuable remedy. It isa remarkable remedy in pyorrhoea and will make extraction of teethunnecessary.#Lachesis. [Lach]In low conditions of abscess, when pus in thin, dark, ichorous, andoffensive in character, **Lachesis may me the remedy. The partsare purplish in appearance. It the remedy for abscess wherepoisonous matter has been introduced into the system, causing thetrouble.**Carbo vegetabilis may also be a remedy in long-lasting, unhealthysuppurative processes which produce a hectic fever.**Rhus toxicodendron is another remedy for abscesses of the parotidor axillary glands where there is a discharge of a bloody, serous pus.
The evident poisoned condition of the system and tendency of theabscess to take on a carbunculous state will indicate Rhus.With *Lachesis the discharge is a thin ichorous pus.Another remedy in low condition of abscess is **Arsenicum; the greatdebility, the production of watery, ichorous pus, the threatening ofgangrene and the intolerable ***burning pains will call immediateattention to this remedy.#Sulphur [Sulph]is also a remedy which may be used with the greatest benefit inabscesses and suppuration; especially is it useful in chroniccases where the discharge is profuse, accompanied with emaciationand hectic fever. Abscesses in scrofulous persons, where thereis a marked psoric taint and a tendency to boils, correspond to**Sulphur. The pus is acrid and excoriating. Crops of boils invarious parts of the body indicate the remedy well. **Lycopodiumhas also been found useful in boils which are greatly aggravatedby poultices.#Arnica [Arn]is the remedy where abscesses and boils do not mature; they shrivelup, then another crop comes; **Arnica will often develop the abscess,carrying it on to a discharge of the pus and a cure of the trouble.Boils coming in crops call for **Arnica; they are ***very sore,purplish in color; also blood boils which are very sore.**Calcarea carbonica, Calcarea iodata (especially in abscess ofthe cervical glands scrofulous in nature), **Asafoetida, Calendula(traumatic suppuration), and a number of other remedies may perchancebe indicated in suppuration and abscess. With **Calendula the pus isthick and yellow, not attended with active inflammation. The symptoms,unhealthy skin, every little wound or scratch suppurates, arefound under **Hepar, Silicea, **Calcarea carbonica and Graphites.Grauvogl considered **Arnica as a remedy to prevent suppuration, andparticularly to hinder the absorption of pus and so prevent pyaemia.#Rhus toxicodendron [Rhus.t]is a very useful remedy in acute suppuration; especially has it beenfound useful in suppurative conditions about the eye.It has proved curative in abscesses about the parotid and axillaryglands; the pus is bloody and serous, the pain is intense, and theswelling is dark red. **Rhus corresponds very closely to septicaemia.#Echinacea [Echi]has achieved a well merited reputation in suppurative conditions,
especially where symptoms of blood poisoning are present. Thereis no question as to its efficacy.#Nitric acid [Nit.ac]may also come in suppurations about the glands, especially theinguinal or axillary, in syphilitic subjects, and when the dischargeis offensive, excoriating and of a dirty, greenish yellow colour.Suppurations is mastoid process.**Kali iodatum must also be thought of in syphilitic or scrofulouscases.**Phosphorus is often useful in abscesses about the bones, and herewe will find **Aurum, Asafoetida, Pulsatilla, Calcarea phosphorica,Calcarea fluorica and Manganum special remedies.**Pyrogen according to Dr. W. E. Leonard is invaluable as remedyin recurring abscess conditions. It will clean up the system andprevent a recurrence.=ACNE.#Sulphur [Sulph]is perhaps the remedy most often indicated in this affection,especially if chronic. The skin is rough and hard and the acneis associated with comedones and constipation; great aggravationfrom water is the characteristic leading to **Sulphur in skinaffections. The acne punctata is the variety corresponding mostnearly to Sulphur. Simple forms yield to **Belladonna or Pulsatills.Acne rosacea yields to *Arsenicum iodatum or Sulphur iodide.#Sanguinaria [Sang]is another useful remedy in acne, especially in women with scantymenses and irregular circulation of blood. Other remedies for acnedependent on sexual disturbances of women are **Calcarea carbonicaand Aurum muriaticum natronatrum.#Kali bromatum [Kali.br]produces an acne on the face, neck and shoulders. We frequentlyfind an acne in Epileptics who have been maltreated by bromides.This remedy is especially adapted to the acne simplex and theacne indurata, especially in hyperaesthetic, nervous females,and the late Dr. Martin Deschere loudly praised it.Since **Kali bromatum has been found a useful remedy in sexualexcesses it will be especially a remedy in acne due to that cause.Dr. J.H.Clarke says, "I know of no remedy of such universal usefulnessin cases of simple acne as **Kali bromatum 30," and the late Dr.A.M.
Cushing recommended**Arsenicum bromatum 4x as very efficacious.**Thuja is one of our best remedies for acne facialis.**Calcarea picrata is also a useful remedy for acne; clinically it hasbeen found one of the good remedies. **Calcarea sulphurica isindicated where the pimples suppurate.#Antimonium crudum. [Ant.c]Small red pimples on face, acne in drunkards with gastric derangements,thirst and white-coated tongue. **Antimonium tartaricum. Obstinatecases, with tendency to pustulation, are curable with this remedy.**Berberis aquifolium is useful where the skin is rough and the acnepersistent. **Natrum muriaticum acts especially on the sebaceousglands, and is a very helpful remedy in acne.In this affection attention must be directed especially to thepatients type, temperament and tendencies and the general symptomsare far mores important than the local ones.=ANAEMIA.#Ferrum metallicum. [Ferr]Iron is the great allopathic remedy for anaemia from almost any cause.It is also a great homoeopathic remedy, but it will not cure everycase of anaemia; careful individualization is necessary. When thepatient has an ***appearance of full bloodedness or plethora, which isfollowed by paleness or earthiness of the face and puffiness of theextremities, then **Ferrum will benefit. It is not the remedy for theanaemia resulting from loss of fluids; that is **Cinchona, or perhaps**Natrum muriaticum. When **Ferrum is indicated the mucous membranesare pale, more so than with **Cinchona, and there is apt to be ananaemia murmur in the veins of the neck. The patient is easilyexhausted.Vomiting of food after eating may occur. The patient isconstantly chilly and perhaps has an afternoon or evening feversimulating hectic fever. In very stubborn cases sometimes **Ferrumphosphoricum may serve better than Ferrum metallicum. Schuesslerrecommends first **Calcarea phosphorica, then **Ferrum phoricum. Insimple, uncomplicated chlorosis **Ferrum is one of our best remedies.Hughes recommends **Ferrum redactum IX or 2X. Ludlam praises **Ferrumet strychnia citrate 3X, Dr.Jousset, **Ferrum aceticum or the **Ferrumprotoxalate, and Dr.Holcombe. of New Orleans, used **Ferrumphosphoricum.All these preparations of Iron may benefit cases of anaemia andchlorosis; if so, it is by virtue of their similarity to the symptomsof the case, and not because one or the other preparation of Iron is a
tonic in the allopathic sense. By giving the indicated preparation ofIron it removes the underlying dyscrasia giving rise to the anaemic orchlorotic conditions and cures the trouble.#Pulsatilla. [Puls]**Pulsatilla is the great antidote to Iron, and hence is indicated inthe anaemic condition produced by large or continued doses of it.The system is relaxed and worn out; the patient is chilly and suffersfrom gastric and menstrual derangements. Thus the symptoms resembleclosely those calling for **Ferrum. The cause of the anaemia must besought for, and if the case comes from allopathic hands it is safe toinfer that much Iron has been given and **Pulsatilla will surely bethe remedy. The **Pulsatilla patient feels better in the open air.Dizziness on rising, absence of thirst, and the peculiar dispositionwill lead to the remedy. Cyclamen, which is similar in many respects,differ from **Pulsatilla in dreading the fresh air. **Cinchona is thechief remedy for anaemia resulting from loss of fluids,as in lactationor haemorrhage, or from all exhausting discharges, such as menstrualflow, long-lasting diarrhoea, and sexual excesses and loss of semen.The quality of the blood is actually poorer in cases calling for**Cinchona. Special symptoms are heaviness of the head, loss ofsight,fainting and ringing in the ears, pale sallow complexion, sourbelching, poor digestion and bloated abdomen. The patient is sensitiveto draughts of air yet wants to be fanned.Dr. George Royal thinks many physicians err in giving **Cinchona toolow in symptomatic anaemia when much time has elapsed since the drainwas made on the system. He finds the 30th. productive of betterresults than the lower preparations. **NATrum muriaticum is also aremedy for anaemic and debilitated conditions due to loss of fluids,especially in women who suffer from menstrual disorders and in chroniccases with a dead, dirty-looking skin. **Chininum arsenicosum issometimes prescribed for anaemia, not, however, on the totality ;ofthe symptoms, but because it is said to be "good for it." It has beenfound curative in certain cases ;of pernicious anaemia.**Acetic acid suits anaemic nursing women, with waxy skin, and thirst.#Calcarea carbonica. [Calc]Almost any of the deeper acting constitutional remedies may be of usein anaemic and debilitated conditions, and especially are the**Calcareas useful. Thus we have **Calcarea phosphorica as theremedy for the "green sickness," chlorosis of young girls, witha complexion like wax, alabaster lips and ears, a bright eye, andwhen they smile or laugh it is a sickly one. The face sometimes hasa true greenish hue or a sallow one. In such cases the menses are
apt to be too early and then calcarea phosphorica is well indicatedfor this condition. **Calcarea carbonica is indicated by thepsoric, scrofulous or tubercular diathesis and the generalsymptoms of the drug, by disgust for meat, craving for sour andindigestible things, swelling of abdomen, vertigo and palpitation;on going upstairs. The patient is in a state of worry. Constantlyimagining calamities.**Alumina is also a remedy for chlorosis due to the scrofulousdiathesis and from improper nourishment, such as occurs in somechildren brought up on artificial foods. **Nux vomica, too, may beindicated in anaemic conditions when due to gastro-intestinalderangements. **Plumbum has been recommended for inveterate chlorosiswith obstinate constipation. **Alumina also, being an antipsoric, isthe remedy for anaemic conditions about puberty, with abnormal cravingfor indigestible substances, such as slate pencils, chalk, etc.#Arsenicum. [Ars]This being a direct poison to the red blood corpuscles takes firstrank in cases of pernicious anaemia or in anaemias due to a malarialof ;toxic influence. Dr.Blackley, of England, reported four cases ofpernicious anaemia cured with small doses of the remedy. It does notcorrespond to simple anaemias so well. It indications are ***excessiveprostration considerable oedema, violent and irregularpalpitation,marked appetite for acids and brandy, ***extreme anxietyand rapid emaciation .There is irritable stomach and intense thirst. When the allopathicschool uses **Arsenic as a blood tonic, and Dr.Bartholow says, "it isone of the most valuable remedies in the treatment of chlorosis andanaemia," it does so on strictly Homoeopathic principles.**Picric acid. The extreme prostration of pernicious anaemia, with aheavy tired feeling all over the body, burning pains along the spineand aggravation from excitement indicate this remedy.#Helonias. [Helon]An excellent remedy in anaemia and chlorosis. It suits especiallyanaemia from prolonged haemorrhage in women enervated by indolence andluxury, or such as are worn out with hard work; they are too tired tosleep and the strained muscles burn and ache A characteristicmodality is that the patient is better when the attention is engaged,hence better when the doctor comes. This anaemia is associated withdisturbances in the urinary and sexual organs. Tired,anaemic,backachey females need **Helonias, "It is one of the best bloodmakers that we have." (E. G. Jones.)
#Aletris. [Alet]Chlorosis. "The **China of the uterine organs." (Hale.) Tired dull,heavy,confused. Debility of females from protracted illness; noorganic disease. Power and energy of mind and body are weakened.#Secale. [Sec]This remedy produces a progressives general anaemia. It is shown bythe peculiar cachexia of anaemia, pale, bloodless, jaundiced color. Byits effect on the blood corpuscles it produces a general anaemia,threatening not only the life of a part, but vitiating the whole lifeof the bodily economy. It is a sort of a meschanical anaemia.#Natrum muriaticum. [Nat-m]This is one of our best remedies in anaemic conditions. There ispaleness, and, in spite of the fact that the patient eats well, thereis emaciation. There are attacks of throbbing headache and dyspnoea,especially on going up stairs, constipation ands depression ofspirits, and consolation aggravates. With these symptoms there is muchpalpitation, fluttering and intermittent action of the heart. Thehypochondriasis in these cases is marked. Scanty mesnstruation isfrequently an indicating symptom. **Kali carbonicum is one of the mostimportant remedies in anaemia, weak heart, sweats backache, especiallywith female complaints.=ANGINA PECTORIS#Amyl nitrite. [Aml-n]In acute attacks of this disease **Amyl nitrite is usually the remedygiven, and it is given by olfaction of the crude substance, Its actionis to produces a speedy dilation of the capillaries in the upper partof the body, the face becomes flushed, the hearts action is rapid andtumultuous, there is a feeling as of a band around the head,constriction about the heart and oppressed breathing. It is veryuseful in relieving the paroxysm, and if the symptoms correspond itwill be found useful at other times.**Aconite is especially useful during a attack of vaso-motor anginafrom exposures to cold, with intesnse anxiety. Coldness pain radiatingfrom head in all directions, with numbness, tingling, paraesthesia.#Glonoine [Glon]or **Nitro glycerine is a very similar remedy. It has been proved andits action is fairly well known.
Its grand characteristic is throbbing all over the body in everyvessel, a feeling of fulness in region of heart, and perhaps sharppains radiating in all directions from heart, labored breathing, andfluttering of the heart, it feels contracted. **Arsenicum has alsoproved useful especially in preventing the paroxysms.#Crataegus. [Crat]Sudden, terrible pain in the left breast, radiating over the heart anddown left arm, despondent and fearful of death. Use tincture in water,frequent doses.#Cimicifuga [Cimic]has pains radiating all over the chest and a sensation as if the leftarm were bound to the side The patient may become unconscious;us, thehearts action suddenly ceases, there is a sense of impendingsuffocation,l and the pulse is weak and feeble.**Kalmia has shooting pains above the heart to the scapula, anguishabout heart, pressure form epigastrium to heart.**Kali carbonicum has stitches from heart to scapula and there isgreat weakness.**Magnesia phosphorica 6x in hot water will frequently greatly relievethe paroxysms of angina and lessen their duration. It has contractionof the chest with pains radiating from the heart in all directions.**Aurum produces a pressure on sternum as from a heavy weight.#Spigelia [Sep]is a useful remedy in anguishing substernal pain which radiates toneck and arms, irregular pulse, tendency to syncope, palpitation andsharp stitches in heart, pulse weak and irregular, or full andbounding with aggravation from the least motion.**Cuprum has a slow pulse, and clinically it has proved useful inangina, where there is an uneasy feeling about the heart.In cases ;of "tobacco heart," or uneasy pains about the heart due totobacco, **Nux vomica, Staphisagria and Tabacum have proved useful.**Tabacum 3x has cured cases of angina pectoris in patients witharterio-sclerosis. Especially useful in anginas caused by tobacco alsoin the intermittent hearts of the aged.If organic disease of the heat be present as a cause of the angina,**Cactus may be the remedy when the grasp of the "iron hand" ispresent. **Arnica has a sudden pain in the heart as if squeezed andpain in left arm and left arm and left chest. If the sore, bruisedfeeling be present the choice is easy. An other remedy to be thoughtof in tobacco heart is Kalmia. a numbness of the right hand and armshould suggest **Lilium, which is an excellent remedy in heart
troubles. **Latrodectus mactans deserves to be studied, as it hasworked well in many cases.=APPENDICITIS.#Belladonna. [Bell]In the early stages of this affection where there is severe pain inthe ileo-caecal region, where the slightest touch cannot be borne,andpatient lies on back,this remedy will be found most useful. Itcorresponds to the pain, the vomiting , the paralysis of theintestine. It comes in after the chill of the **Aconite stage haspassed off and the inflammation has localized itself. Much paincontra-indicates **Aconite.**Ferrum phosphoricum and Kali muriaticum have proved themselvesclinically in inflammation about the ileo-caecal region and theirindications rest on clinical grounds only. **Belladonna is especiallyuseful in catarrhal and recurring cases.#Bryonia. [Bry]As in all inflammations about serous membranes, Bryonia will here finda place. It has throbbing and sharp stitching pains confined to alimited spot and the patient is constipated. The ileo-caecal region isvery sore and sensitive to touch. Any movement is painful and thepatient lies perfectly still and on the painful side. The febriledisturbance of the drug will be present.**Mercurius being Homoeopathic inflammation of the mucous membranesdeserves consideration, especially has it hard swelling, fever,flushed face,red,dry tongue, etc.#Arsenicum. [Ars]When the condition points to sepsis Arsenicum may be the remedy.There are chills, hectic symptoms, diarrhoea and restlessness,andsudden sinking of strength. It relieves vomiting in these conditionsmore quickly than any other remedy. Dr.Mitchell finds it more oftenindicated in appendicitis than **Mercurius corrosivus, which may alsobe a useful remedy. **Arnica is a remedy suiting septic cases and itshould be employed after operations.#Rhus toxicodendron. [Rhus.t]This remedy, with its great correspondence to septic troublesmay be required, and may be indicated by its peculiar symptoms;locally, took it has extensive swelling over the ileo-caecal region
and great pain, causing an incessant restlessness.Dr.Cartier, of Paris, recommends **Rhus radicans 6. in appendicitis ofinfluenzal origin at the onset.**Hepar has a deep-seated induration and **Dioscorea has proved avaluable, remedy when the pain is constant, the patient never beingentirely free from pain. One observer claims Dioscorea to be asimportant a remedy in appendicitis as is Bryonia in hepatitis. Itindications are bowels filled with gas and griping, twisting pains. Itmay be given in hot water. It is a far more inflammatory remedy than**Colocynth, deeper acting, and its paroxysmal pains are anindication. **Echinacea, it is claimed, has acted brilliantly inseptic appendicitis; the tincture, IX and 3x are the strengths used.No indications except septic condition; tiredness is characteristic.#Lachesis. [Lach]This is also a valuable remedy; its great characteristics ofsenssitiveness all over the abdomen, and stitching from the seat ofthe inflammation backward and downward to the thighs, will indicate itin this disease. The patient lies on the back with knees drawn up, andother general **Lachesis symptoms present.**Plumbum has a tense swelling in the ileo-caecal region, painful totouch and on movement; the abdominal walls are retracted, there areeructations of gas and vomiting and both have a faecal odor.**Ignatia is the remedy for the nervous symptoms of the disease, andto be used in cases where operation has been performed and no reliefhas resulted; also in those who become exceeding nervous from anyabdominal pain.Undoubtedly many cases of simple colic ares diagnosed as appendicitisand operated upon. Therefore, purely colic remedies as **Colocynth andMagnesia phosphorica should be studied. The foregoing remedies will befound the most commonly indicated any may be used in both operable andnon-operable cases as well as in conjunction with the meritorious ;oiltreatment of the disease advocated by Dr.M.O.Terry, formerly of Utica,N.Y.=ARTHRITIS.(Gout, Arthritis dseformans, estc)#Colchicum. [Colch]This is the great old school remedy for gout; every case gets it insome form; and, strange to say, in the homoeopathic school it is oneof the first remedies thought of, but not every case of arthritictrouble receives **Colchicum from the careful homoeopathic prescriber.The typical case calling for **Colchicum is where the swelling is red
or pale, with extreme tenderness to touch, a tendency to shift aboutfrom joint to joint, and pains which are worse on the slightestmotion. If the general symptoms of great prostration of the muscularsystem and abdominal bloating be present **Colchicum is the remedy.Gastric symptoms and cardiac complications also characterize. It ismore indicated when the smaller joints, fingers, toes, wrists andankles are affected; the pains are very violent, patient cannot bearto have the parts touched or to have anyone come near him. **Arnicahas this fear that the part my be hit by anyone passing; it has alsoarthritic pains in the foot, worse towards evening; and a red big toejoint which feels as though it has been sprained, so Arnica may beindicated well in gout. The **Colchicum patient is apt to beexceedingly irritable and the gout is not apt to decrease thisirritability. Unless **Colchicum be given according to theseindications it will do no permanent good. The habit of giving**Colchicum to every case of gout in order to palliate the trouble maycause it to attack the heart or fly to other parts.Indeed in potency it is Homoeopathic to gout, with metastasis to theheart.**Aconite is most useful in acute attacks of gout in the joints of thefeet. It corresponds only to the onset and if continued for a day ortwo will cure many cases.#Ledum. [Led]**Ledum is a useful remedy in gout as well as in many articulartroubles. We have the symptoms that the ball of the great toe isswollen, sore and painful on stepping, drawing pains worse fromwarmth, pressure and from motion. It has also gouty nodosities in thejoints, it differs from Bryonia in having a scanty instead of aprofuse effusion; it is, perhaps, better adapted to hot swelling ofthe hip joint than is **Bryonia. All the pains of **Ledum travelupwards. **Ledum is also useful after abuse of **Colchicum.It may be the first remedy to use when the patient comes fromallopathic hands, having been dosed with large doses of **Colchicum,which is a very asthenic remedy, producing great muscular weakness, aswe have seen.**Ledum, it must be remembered is a cold remedy, and attending all thesymptoms is a general chilliness and lack of animal heat. Another drughaving gouty nodosities in the joints is **Guaiacum. This remedy hastearing pains in the extremities and contractions ;of the muscles. Itis also especially useful for gouty inflammation affecting the kneejoint.
#Ammonium phosphoricum. [Am-p]This is a useful remedy in constitutional gout where there arenodosities in the joints.It is not so much a remedy for the acute symptoms, but for chroniccases where there are deposits of urate of soda concretions in thejoints and the hands become twisted out of shape. **Antimonium crudumhas gouty nodes in the joints, but it is easily selected from itsgastric symptoms. Urinary symptoms, strong urine, etc., would suggest**Benzoic acid, and much red **Lycopodium, both ;of which may be founduseful in gout. **Staphisagria has a similar application to gout whenit becomes systematized, as has also **Ammonium phosphoricum.**Rhododerndron has enlargements of the joints not due to goutydeposits, worse during rest and on approach of a storm.**Urtica urens. This remedy is said to cure more cases of gout thanany other. Under its use pain and swelling subside and largequantities of sand are passed.**Picric acid. Halbert mentions this remedy as useful in arthritisdeformans, and thinks that treating the disease from the homoeopathicstandpoint will yield best results.=BACKACHE.**Rhus toxicodendron. [Rhus.t]A violent pain in the back, as if broken, is the greatestcharacteristic of Rhus in the backache. It is more characteristic thanthe symptom "relief from motion," for **Rhus may be indicated wherethe patient is worse from motion.**Rhus seems to be especially suitable to affections of the deepermuscles of the back. There are great pains,dull,bruised, and aching onattempting to rise, showing,thus, the aggravation ***on commencingmotion. It is more suitable to the chronic forms of lumbago, while**Aconite suits the acute forms, and will often times give promptrelief. Baehr prefers **Tartar emetic even to **Rhus and Arnica inlumbago.The backache of **Rhus is better from pressure, but worse in bed. The**Rhus patient likes to lie on sometime hard.**Natrum muriaticum has this same symptom--backache relieved by lyingon something on hard. The **Rhus pains are relieved by bendingbackwards.**Sulphur has lumbar pains, with sudden loss of power to move; worsebefore a storm, reminding of **Rhododendron. **Petroleum and **Rutahave pains in the back in the morning before rising. In Staphisagriathese pains compel the patient to get up early and move about. This
symptom is found also under **Kali carbonicum; it comes on about 3A.M., and is accompanied by pains shooting down the buttocks. **Ledumhas a stiffness in the back, similar to that experienced when one sitsstill for a long time.**Hypericum has aching in small of back and stitches, and isespecially useful in women who are forced to lift and strain and go upand down stairs frequently. **Bryonia. Suits a lumbago of a quiettype, with great aggravation on moving. **Gnaphalium will sometimescure a chronic backache, a tired aching in the lumbar region that sapsones strength and ambition.Worse from continued motion, better resting, especially on the back.The more chronic the backache the better indicated the remedy.#Calcarea fluorica. [Calc.f]This remedy has quite a clinical reputation for curing backache, andespecially the backache simulating spinal irritation. It has pain inthe lower part of the back, with a fullness or burning pain. Lumbagoworse on beginning go move and relieved by continued motion, orlumbago from stains, will find in **Calcarea fluorica its remedy when**Rhus fails. The temperament and general constitutionalcharacteristics of **Calcarea may be present.It also follows Rhus well.**Kali phosphoricum, another of the tissue remedies, has a rheumaticlameness worse after rest, and on just commencing to move; ther is aparalytic tendency, worse on rising from sitting position. Someremedies have a backache worse from sitting, notably **Cobalt, Zincum,Sepia, and Cannabis Indica.Lumbago worse when first beginning to move may call for **Anacardiumor Conium, as well as for **Rhus.#Nux vomica. [Nux.v]Another remedy in backache, especially if referable to spinalaffections, is **Nux vomica. It is in the lumbar region is worse atnight when lying in bed, of a drawing, lacerating or bruisedcharacter, with perhaps sudden stitches in the back, and acharacteristic is that the patient must sit up in bed to turn over. Ithas also a morning backache, and the longer the patient lies in thebed the more the backaches.The backache brought on by sexual excesses should lead to theconsideration of both **Nux and Staphisagria. Stiff neck andtorticollis may also be benefited by **Nux. **Phosphorus has intenseburning pains in the spine between the scapulae, with sensitive dorsalspines, and Secale has a sudden catch or kind in the back.**Lycopodium. Burning as from coals between the scapulae; stiffness
and pain in the small of the back corresponds to this remedy.#Oxalic acid [Ox-Ac]has an acute pain in the back relived by change of posture; back seemstoo weak to support the body. The pains are worse when thinking ofthem, accompanied by debility and numb feeling in the limbs, achingpain in lower part of the back between shoulders, pain and tenderness,worse from any kind of movement or exertion; pain in spots. **Picricacid has heaviness. **Oxalic acid numbness.#Sepia. [Sep]**Sepia is very frequently indicated in the backaches which are due touterine disease. It is a general weakness in the small of the backwhen walking, and is worse while sitting. Sudden pain in the back, asif struck by a hammer, relieved by pressing back upon something hard.**AEsculus is often a useful remedy in backache which, like Sepias isworse when walking. It is a severe, continuous, dull aching in thelumbo-sacral region, affecting the sacrum and hips, and the back "giveout" when walking. Backache during pregnancy will often be suggestiveof **AEsculus, when especially worse from walking or stooping.**Cimicifuga has violent aching in the back in women,dependent onuterine complaints, especially in rheumatic subjects. Aurand says noremedy has served him so well for the relief of lumbago or "crick inthe back" as **Cimicifuga.=BOILS#Belladonna. [Bell]In boils with much swelling and redness **Belladonna is the remedy tobe used in the early stages. Boils recurring in the spring alsoindicate the remedy.**Arnica produces a crop of boils all over, beginning with soreness,go on to suppuration, and another crop follows. When the boilspartially mature and shrivel up **Arnica is the remedy indicated.**Calcarea picrata has achieved a clinical reputation in boils.#Silicea. [Sil]This is a great boil remedy, and, in conjunction with **Heparsulphuris, prescribed for the general indications of abscess willcover many cases. It is a remedy to prevent boils. It producesinflammation of the connective tissue, and following the boil will bea plastic indurated and often inflamed lump, which Silicea willremove.
**Calcarea sulphurica is also a remedy to remove the tumefaction ofboils.**Arsenicum and **Carbo vegetabilis come in boils of a low adynamictype.#Sulphur. [Sulph]This remedy produces a tendency to boils and is applicable toscrofulous persons. Hughes recommends a course of **Sulphur 12.**Phytolacca is said to be specific in boils.**Lycopodium. Evans says the trinity of remedies for boils is**Belladonna, Arnica and Lycopodium.**Berberis vulgaris hastens suppuration in boils and prevents theirrecurrence. **Anthracinum is recommended by Clarke for succession ofboils, with no other symptoms to guide. **Arctium lappa and Echinaceaare excellent remedies with which to break up the "boil habit". In thelatter remedy profound prostration is an indication.=BONES, DISEASES OF.#Aurum. [Aur]Caries of cranial bones and bones of the palate are especially met bythis remedy .It is an antidote to mercury, and has voilent pains atnight.There is an offensive odor and discharge of small pieces of bone.Pains in the bones of the extremities. Given timely it may preventcaries, necrosis and exostosis.**Platinum muriaticum. Caries especially of the tarsus.**Mezereum. Periostitis before the stage of suppuration, worse fromtouch nodes, necrosis nocturnal bone pains. Exostosis of the tarsalbones.#Asafoetida. [Asaf]Caries of bones with offensive discharges, intolerable soreness aroundthe ulcers; caries of tibia with great soreness, so much so thatdressings are intolerant. Pains are dull, drawing and boring, worsefrom rest. **Strontiana carbonica. Caries of long bones with anexhausting diarrhoea.Ostitis discharging bone.**Stillingia. Syphilis of the long bones, periostitis and otitis worseat night and in damp weather. It is of striking benifit in secondarysyphilitic nodes.#Calcarea fluorica. [Calc.f]
Osseous tumors, enlargement of bones, with or without caries. **Heclalava. Osteomata of spongy nature are greatly improved and cured evenby this remedy. Swelling of bones of jaw after extraction of teethwith violent pains. Caries of maxillary bones.#Mercurius. [Merc]Ostitis, violent bone pains, swelling.**Nitric acid. Mercurial ostitis, drawing, pressive pains withsensitiveness. **Phosphorus. Non-syphilitic caries of vertebra andcaries of lower jaw. in hip disease it is useful after **Silicea,burning in the spine. The proving of **Phosphorus gives the essentialfeatures of rickets. It is especially of use in cases marked bylaryngeal symptoms. This is an important clinical observation and maybe accepted as a guiding indication.#Silicea. [Sil]Curvature of bones, rickets; here it is often the clearly indicatedremedy; there is present offensive sweat. Hip-joint disease. Cariesafter inflammation, worse from cold. Potts disease. It is a slowacting remedy. **Calcarea carbonica. Baehr claims that this remedy issuperior to any in caries of the vertebra. Curvature of the spine.Rickets, sour sweat. **Phosphoric acid. Hip disease and caries of thespine. Sensation in the bone as if scraped with a knife. It is aremedy which correponds to the extreme debility found in rickets, andis a valuable remedy in that affection.#Flouric Acid. [Fl-Ac]Dental fistula; caries of the bone, especially of the long bones, withthin excoriating discharges relieved by cold applications.Caries of temporal bones ans mastoid processes. The pains are burningand intermittent, and the discharge is thin and acrid.Caries from syphilis or mercury. It follows **Silicea well. **Siliceais worse fom cold, **Flouric acid better. Dr. Luther Peck, ofPlymouth, Michigan, relates a case of maxillary necrosis in which**Silicea followed by Flouric acid and then **Calcarea flouricacompletely cured. These thre remedies are excellent jaw remedies.#Calcarea phosphorica. [Calc-p]A great remedy for non-union of fractured bones when due to***impaired nutrition. In the lower potencies it stimulates theformation of callus.The remedy for rickets, especially for the fat rachitic infant.**Symphytum. An excellent remedy for injuries of bone where there isan irritability at the point of fracture, nervous in origin. **Ruta
graveolens oftentimes in fractures renders good service in causingcallus to form. Especially useful where non-union results, because ofdeficient callus. **Sulphur. Rickets, defective assimilation, greatappetite, but poorly nourished.=ASTHMA.#Ipecac. [Ip]This remedy is a close homoeopathic simile to asthma, especially tothe spasmodic variety where the symptoms are great weight and anxietyabout the chest; sudden wheezing, dyspnoea, threatening suffocation,aggravated by motion; the cough causes gagging and vomiting. The coughis constant, the chest seems full of phlegm, yet none is expectorated,and the extremities are covered with cold perspiration.**Lobelia is a remedy which one usually classifies with **Ipecac. Ithas the great oppression of the chest and a weak sensation in thechest which seems to come from the epigastrium, where there is afeeling of a lump; there is nausea, profuse salivation; the attack ispreceded by a pricking sensation through the whole system. It is mostuseful in bronchial and septic asthmas. The breathing is exceedinglydifficult, and is relieved by moving about. A pain extending aroundthe forehead from one temple to other and a pain in the back at thelast dorsal vertebra are also useful indications. **Arsenicum is quitesimilar to Ipecac in asthma, and attacks coming on after midnight leadto the use of this remedy. With Ipecac the expiration is especiallydifficult; vomiting when it occurs is apt to relieve the attack.#Arsenicum. [Ars]As stated above, **Arsenicum has some similarity to **Ipecac, but thetime of attacks is just after midnight. The patient has a great dealof anguish and restlessness; he cannot lie down for fear ofsuffocation. There is anxiety and general sweat, and if the patientdrowses off he is awakened with burning pain and soreness in thechest. It is especially the remedy if the disease be chronic and thedyspnoea habitual and dry and the patient aged.**Apis has a suffocative feeling, and the patient does not see how hecan get another breath, and the **Bromine patient breathes very deeplyas it seems as if he could not get air enough into his lungs,whileunder Grindelia robusta the patient on falling asleep ceases tobreathe and awakes with a start. **Grindelia has been found clinicallyto benefit humid asthmas and acute catarrhal asthmas, and Halbertstates that 5 or 10 drops of the tincture every hour during theparoxysmal state will greatly palliate. Probably in higher potencies
it would act curatively for its symptomatology represents the typicalparoxysmal features of this disease. It has a peculiar symptom, a fearof going to sleep on account of loss of breath which awakens him.**Viscum album is also clinically recommended. It has weakness of therespiratory and stertorous breathing. The asthma of **Arsenicum isaccompanied by great debility and burning in the chest, and it follows**Ipecac well,and is especially useful in anaemic persons. Baehr andJousset place this remedy at the head of our list for asthma.#Nux vomica. [Nux.v]**Nux vomica is a useful remedy when the asthmatic attacks are broughton by gastric disturbances; simple spasmodic asthmas; there is somerelief by belching, the patient must loosen the clothing. It must alsobe thought of in those who drink much coffee or liquor. Irritablebilious temperaments also correspond to the drug. **Zingiber is also aremedy for asthma of gastric origin , and the attacks come on towardmorning; the patient must sit up; no anxiety. A good symptom callingfor **Nux is a constricted felling at the lower part of the chest.Where there is much abdominal irritation present with much flatulence,**Lycopodium and **Carbo vegetabilis should be thought of. **Carbovegetabilis also corresponds to the asthma of the aged who are muchdebilitated; they are greatly oppressed for breath and are relived bybelching wind.#Kali bichromicum. [Kali.bi]The potashes produce asthmatic condition, and under Kali bichromicumwe find the attacks coming on about three or four oclock in themorning, compelling the patient to sit up to breath; he sits up andbends forward which relives somewhat, as does also the expectorationof ***stringy yellow mucus, which is characteristic of the remedy. Itis similar to **Arsenicum except for this feature of tenacious mucus.**Kali carbonicum has asthma worse towards morning,with a feeling asif there were no air in the chest. **Kali phosphoricum has beensuccessfully used in asthma, especially in the nervous variety.#Natrum sulphuricum. [Nat.s]This remedy has established a record in curing asthma. Its generalsymptoms are worse on change to damp weather. It was one of Grauvoglshydrogenoid remedies. Its symptoms are moist asthma, with a great dealof rattling in the chest. The symptom of looseness of the bowels aftereach attack has been repeatedly verified; in one case the patient wasworse from aerated waters and alcohol. If symptoms indicating asycotic taint be present,it will be all the more strongly indicated.The attacks generally come on about 4 to 5 oclock in the morning with
cough and raising of glairy slime; expectoration greenish and copious.The asthma of hay fever finds one of its remedies in **Natrumsulphuricum, and another in Sabadilla, especially if much sneezing bepresent. Another symptom of **Natrum sulphuricum which ischaracteristic is that the patient must sit up and hold the chest withthe hands during the attack. **Hypericum. Dr.T.F.Allen relates asevere case of asthma, having the symptoms, "dryness of the throatalways worse in foggy weather," cured by **Hypericum.#Antimonium tartaricum [Ant.t]is a remedy used largely in some form by the allopathic school inasthma, and it is homoeopathic to certain cases. The great keynote forthe remedy is the presence of ***fine mucous rales throughout thechest, finer and smaller rales than are found under **Ipecac. Withthis remedy the chest seems full of phlegm, with inability toexpectorate it. There is great dyspnoea, the patient must sit up, andthere are suffocative attacks coming on as in the potash preparation (and this contains potash ) about three oclock in the morning. LikeIpecac, too, there is great difficulty in the expiratory effort.**Antimonium tartaricum is especially adapted to the extremes of life,suiting the asthmatic attacks of the aged and the dyspnoea of theyoung children when due to pulmonary affections. The sensation thatthe patient cannot get air enough is characteristic of the remedy.**Blatta orientalis has obtained a good clinical record in acute andchronic asthmas, and is well worthy a trail in obstinate cases;precise indications are wanting.#Moschus. [Mosch]Intense anxiety, intense fear and a smothering sensation. It suitsthose of a sensitive, highly organized, nervous temperament; neurotictypes when increased anxiety and nervousness predominate. **Ambragrisea. Dread of people, great desire to be alone.**Silphium lancinatum. Dr.A.F.Schulz, for Fort Wayne,Indiana, a verycareful prescriber,uses this remedy very successfully in moist asthmawith expectoration of large quantities of stringy mucus; rapidlyexhausting. It is light colored or yellow. Hale states that horses arecured of the heaves by eating the leaves of **Silphium. The 2xtrituration is recommended.
=BRONCHITIS#Aconite. [Acon]The sphere of **Aconite in bronchitis is limited to the onset of theaffection, and here it must be distinguished carefully from otherremedies also suitable to this stage. When, as a result of checkedperspiration, exposure to cold, drafts or dry, cold winds,a cold istaken starting in with a coryza, frequent sneezing,chilliness,restless sleep,full,hard pulse, and the characteristicmental condition, Aconite will come in,though its stage is a brief oneis usually over before the physician sees the case. It is of use,therefore,only before the inflammation is localized. Dr. Pope saysthat **Aconite will often prevent the development of a thoroughbronchitis. If the cases are characterized by lassitude and physicalweakness and indisposition with a full flowing pulse and moderatecongestion, then **Aconite is supplanted by **Gelsemium.Often times it is difficult to determine which of these remedies isindicated, when **Ferrum phosphoricum must be considered, and moreespecially so in the bronchitis of children,where it will often checkthe trouble. It stands therefore,midway between **Aconite andGelsemium, with less restlessness and bounding pulse than the formerand less flowing pulse and drowsiness than the latter remedy. Itcorresponds to cases where every little cold adds to trouble, thecough is short and dry, the lungs are sore, and the breathing issomewhat oppressed.**Veratrum viride suits violent cases from the first where ther ishigh temperature, full,hard rapid pulse, and great heat of the body.It differs from **Aconite in having no anxiety and no restlessness.When the arterial turgescence is over its period of usefulness ispast.#Belladonna. [Bell]**Belladonna suits cases of bronchitis with a violent fever,short,dry, continual,distressing cough,worse at night and on lyingdown,where the breathing is irregular and hurried, no expectoration,or,if present,it is apt to be bloodstreaked, fulness in chest withoutany pain,though children will cry when coughing,the skin is hot andinclined to moisture,not dry like **Aconite or Veratrum viride. Thereis a tendency to drowsiness, the patient does not sleep, but dozes insemiconscious manner and starts frequently. Do not be too great hurrya change to another remedy when the cough is spasmodic and the childcries after each paroxysm. **Belladonna is still the remedy.
#Bryonia. [Bry]Probably this remedy is seldom indicated in pure bronchitis,thoughvery frequently given. It is of especial good service when the coughis very severe,***hurting the head and distant parts of the body. Thepatient presses the hands on the sides of the chest while coughing torelieve the pain.There is great pressure over the sternum,dyspnoea, and a drycough,which seems to start from the stomach. It is worse after a mealand there is but little expectoration. The cough is more the result ofan irritation in the larger bronchi than in the finger tubes, and thehacking produces sore spotsin the trachea and chest. Stitching pains in the sides, of course,further indicate **Bryonia. The cough is aggravated by coming into awarm room from the cold air. Hughes says that it is the best remedyafter **Aconite for what is known as a cold on the chest. If theexpectoration becomes copious,loose,thick and muco-purulent,**Pulsatilla may be indicated; if accompanied by nausea and vomitingof mucus, then give **Ipecacuanha, especially bronchitis followingmeasles and whooping cough, **Chelidonium is an excellentmedicine.#Phosphorus. [Phos]Especially suitable to sub-acute and lingering cases in delicate,tall, slender, overgrown or phthisical subjects. It thus suits non-resistant individuals. There is a paroxysmal cough with pain under thesternum, suffocative pressure in the upper part of the chest withconstriction of the larynx, hoarseness,mucous rales,bloody and mucoussputum or purulent, having a salty or sweetish taste; patient betterafter sleep. The respiration is embarrassed and the tendency is towardpneumonia. **Rumex has a tickling in the supra-sternal fossa; anychange in breathing causes cough; must breathe warm air to avoidcoughing. With **Phosphorus the cough is worse after meals, and aguiding symptom is soreness and rawness of the chest; the cough isalso worse going into the open air, being the reverse of **Bryonia.Talking, or any use of the voice, aggravates the cough. **Heparsulphur. When the cough begins to loosen and becomes rattling,fatiguing and choking , with moist rales, **Hepar will be the remedy.***"Coughing into a choke" is a valuable indication for this remedy.It corresponds more closely to subacute cases.It is particularly adapted to dyscrasias, herein differing fromPulsatilla.**Kali carbonicum is also valuable in capillary bronchitis withdyspnoea,a choking cough, and sharp stitches in the chest. The 12xpotency is perhaps the best.
#Mercurius. [Merc]The sovereign remedy in inflammatory bronchial catarrh; there isroughness and soreness from the fauces down through the middle ofthe chest, a dry, raw concussive cough, which is very exhausting;sputum watery, saliva-like,or yellow and muco-purulent. There isfever and alternation of hills and heat, desire for cold drinks, whichaggravate the cough. and pasty sweat without relief.**Kali bichromicum has for its indication thetough,tenacious,glutinous character of the expectoration; it can bedrawn out in long strings. Hughes considers it useful when bronchitislingers long in a ***sub-acute condition. The expectoration may alsobe of bluish lumps, and the cough is especially troublesome towardsmorning , the tightness seems to be at the epigastrium.#Antimonium tartaricum. [Ant-t]This remedy corresponds to two stages of bronchitis, an early one anda late one. In the beginning of capillary bronchitis in young infants,or in old people, this remedy stands most prominent. There are sub-crepitant rales throughout the chest, wheezing breathing, the coughsounds loose, but no phlegm is raised. In children the cough isinfrequent, and the child becomes drowsy, the respiration issuperficial, requiring labored efforts of the respiratory muscles, andvomiting of food and mucus may be present. In these cases carbondioxide poisoning threatens, and the patients own mucous secretiondrown him. These are clear indication of **Antimonium tartaricum.**Ipecacuanha is the most similar drug; the rales are louder andcoarser, there is much coughing, but the patient raises little phlegmof infants, the prostration not being as marked as with **Antimoniumtartaricum. There is great accumulation of mucus,spasmodiccough,nausea and vomiting, and difficulty in breathing. After its usethe expectoration becomes less tenacious which permits it to be raisedmore easily. **Baryta carbonica has loud rattling in the chest, butthe patient cannot raise. **Ammonium causticum has also a copiousaccumulation of mucus in the lungs with incessant cough.Another preparation of Antimony, namely, **Antimonium iodatum, ispraised by Goodno for a heavy, yellow, muco-purulent expectoration.It often acts promptly in relieving when other remedies fail.**Antimonium arsenicosum is also a most useful remedy and correspondsto dangerous types of capillary bronchitis.#Sulphur. [Sulph]**Sulphur corresponds well to inveterate cases of chronic bronchitis,and brilliant results are here obtained. Its catarrh of the bronchial
mucous membranes is accompanied with loud rales, a persistent,profuse, thick, muco-purulent expectoration and attended bysuffocative attacks.**Balsam Peru. Bronchial catarrh, with loud rales and profuseexpectoration; both this remedy and **Pix liquida have exepectorationof purulent matter.**Bacillinum is a remedy highly spoken of by some competent observers;it seems to suit especially individuals who are constantly catchingcold, one is hardly gotten rid of before another is contracted. Theirritation locates itself in the bronchial mucous membrane leavingtroublesome cough. Arnulphy considers the remedy a most useful one.#Carbo vegetabilis. [Carb.v]Bronchitis of old people with profuse, yellow, foetid expectoration,dyspnoea, much rattling in the chest, and ***burning calls for thisremedy. Among other remedies suiting bronchial troubles in old peopleare **Senega where the cough is irritating and the phlegm isespecially adhesive and the patient complains of a pressing pain inthe chest, when respiring, moving or coughing. **Lachesis where thecough comes on when the patient is about to drop of to sleep;**Arsenicum, fatiguing suffocative cough with violent dyspnoea;**Scilla, obstinate chronic coughs with stitches in the chest,expectoration transparent or muco-purulent, easy at times, hard atothers; **Nux vomica, Rhus and Veratrum album. **Dulcamara is avaluable remedy for bronchial catarrhs of old people with a very freegreenish expectoration, worse from change of weather to cold andwet.=CARBUNCLE.#Arsenicum album. [Ars]This is generally regarded as the chief remedy in carbuncle.The great indication is burning as if coals of fire were on theaffected part. There are also cutting, lancinating pains withaggravation after midnight,and great irritability of the mind andbody. **Arsenic comes in later in the disease than **Rhus. **Rhus isan excellent remedy in the beginning of the trouble when the pains areintense and the affected parts are dark red. If **Arsenic fails resortmay be had to **Anthracinum, which has precisely the same symptom as**Arsenic,but far more intense. Warm application relieve the **Arsenicpains. **Anthracinum will often promptly relieve the burning,agonizing pains of carbuncle. **Echinacea is a wonderfully good remedyin carbuncle, the septic state, the prostration and the pain are well
met by it, and it may also be applied externally.#Lachesis [Lach]is a very useful remedy when the surface is swollen and pus forms veryslowly. The parts are purplish-looking with evidences of bloodpoisoning; there is great burning, relieved by washing in cold water.Small boils surrounding the main sore is a valuable indication.Carbuncles which slough are very offensive call for **Lachesisor,perhaps, **Carbo vegetabilis. **Tarentula Cubensis produces aperfect picture of sloughing carbuncle with great prostration, and itrelieves the atrocious pains accompanying it. An indication is anearly marked black core center. Hughes has repeatedly verified thisremedy in carbuncle (use **Succus Calendula, I to 6, as a localapplication).#Silicea. [Sil]This remedy comes in to favor healthy suppuration and promote healthygranulations. Carbuncles on back between the shoulders.**Nitric acid and Phytolacca have a disposition to carbuncles.**Grauvogl recommends Arnica.=CLIMACTERIC DISORDERS.#Lachesis [Lach]suits especially women who never get well from the change of life;"have never felt well since that time." It corresponds to manyclimacteric troubles, such as haemorrhoids, haemorrhages,vertigo,burning on the vertex and headaches.It is remedy for women worn out by frequent pregnancies, with suddencessation of the menses, trembling pulse, headache, flushing of theheat and rush of blood to the head, cold feet and constriction aboutthe heart. **Amyl nitrite. Flushes of heat at change of life. The30th potency acts well here. **Strontiana carbonica. Flushes of heatwith head symptoms relieved by wrapping head up warmly. **Sanguinaria.Flushes at climaxis; headache with profuse menses.**Calladium. Pruritus at menopause. **Aconite. Derangements ofcirculation at menopause. Hughes also praises Glonoine for theseconditions. **Veratrum viride. Perhaps no remedy controls the flushesof heat, so annoying to women at the change of life,as well as**Veratrum viride.
#Cimicifuga [Cimic]is very often the remedy for the suffering incident to the change oflife. There is sinking at the stomach, pain at the vertex andirritability of disposition. The patient is restless and unhappy,feels sad and grieved. Bayes prefers the 6th and 12th potencies to thelower dilutions. It is but just to state that many have beendisappointed in the use of this remedy. **Caulophyllin 3X. Dr. Ludlampraises this remedy for nervous conditions following the climaxis,when there is "great nervous tension and unrest with a propensity towork and worry over little things."**Sepia. Congestion at the climaxis, in characteristic **Sepiaconstitutions, are quickly benefited by the remedy.#Bellis perennis. [Bell]Our English confreres use this remedy quite extensively in what istermed a "fagged womb." The patients are very tired, want to lie down,have a backache. There is no real disease, but a marked tiredness allthe time. **Carduus is of supreme importance for liver troubles at theclimaxis **Ustilago. Often rivals Lachesis in controlling the floodingduring the climaxis. Vertigo is characteristic.=COLDS and CATARRHS.#Aconite [Acon]When the attack comes on suddenly after an exposure to a cold,dry wind, with chilliness, followed by fever, Aconite will be theremedy. It should be administered just as soon as the patientrealizes that he is taking cold.There is as yet no discharge, but from the congestion the nose isswollen, hot, dry and stopped up, and this stoppage is apt tochange from side to side; there is tingling and burning in thenose and a throbbing frontal headache; there may be sneezingalso. These symptoms are all better in the open air.**Nux vomica has colds caused by cold weather, with a dry,stuffed up nose and rough, scrapy throat.**In Belladonna there is more cerebral excitement and swelling inthe throat is a prominent symptom.**China has headache with pains, worse in open air, not better,as in Aconite.**Ferrum phosphoricum is very similar to Aconite and may be usedwhen the onset is less sudden and violent and when there is noanxiety and restlessness.It is also, like **Nux and **Calcarea carbonica, excellent for
predisposition to take cold.#Arsenicum [Ars]is especially useful in winter colds where there is a thin,watery discharge from the nostrils which excoriates the upperlip, yet in spite of this fluent discharge the nose feels stoppedup. There is a dull, throbbing frontal headache and sneezing,photophobia,and contrary to what one would expect, the***sneezing does not relieve in the slightest and the irritationcontinues as before and is worse on going into sir. Itcorresponds well to patients who are rarely without a cold. Thesesymptoms of watery discharge and sneezing place **Arsenic in thefront rank in the treatment of hay fever. Catarrh based upon amalarial miasm in poorly nourished subjects calls for the remedy.**Arsenic iodide may be found indicated when burning in nose andthroat is marked.**Allium cepa has this excoriating nasal discharge also, but, ifanything, there is more lachrymation, which, by the way, isbland.**Sinapis nigra resembles **Arsenicum in the heat in the nose,but with **Sinapis there is dryness and no discharge.The discharge of **Mercurius, though excoriating and acrid, isthicker.The cold of **Arsenic always settles in the nose, that of**Phosphorus in the chest. The **Arsenic patient is chilly andwants to be near the fire all the time; the nose burns bothexternally and internally.#Allium cepa. [All-c]One of our best remedies for cold in the head, indeed, is said bycome to be the best, and probably it is when indicated.The discharge is profuse, thin and acrid, with great smarting inthe nose and eyes, and the distingushing feature between thisremedy and **Euphrasia is the profuse lachrymation which here isbland, and under **Euphrasia is excoriating, while the oppositecondition obtains in the nose.Under **Allium the edges of the eyelids burn and the eyes are redand sensitive to light.The nasal discharge is thin and flows constantly, excoriates theupper lip, and there is prolonged sneezing. A peculiarity of**Allium is that the discharge ceases when the patient goes intothe open air, but returns when entering a warm room again. It isa drug Which should be given early, and if there be a splittinglaryngeal cough, causing the patient to wince and crouch with
pain, it is all the more indicated.Farrington, however, claims that **Allium is apt to drive thetrouble to the chest, and adds that when it reaches the chest**Phosphorus is the remedy.**Arsenic, too, is similar, but **Arsenic has sneezing in thecool air after leaving a worm room, and it lacks the laryngealsymptoms so common in **Allium. The **Mercurius discharge isacrid, and not as thin as that of **Allium.#Euphrasia. [Euph]Here the upper part only of the respiratory mucous membrane isaffected. Like **Allium cepa it has a copious, fluent dischargefrom nose, and copious lachrymation, the latter being most acrid,excoriating the cheeks, and being so profuse as to keep them wetall the time. It differs from **Allium, as we have seen, in thecharacter of the discharge, from the eyes excoriating, from thenose bland. **Euphrasia is often well indicated in the coryzaswhich precede measles, when there is a cough which soundsdecidedly measly. **Eruptions on the wings of the nose.#Arum triphyllum. [Arum-t]Under **Arum all of the secretions are acrid, and there is adischarge if ichorous fluid from the nose; the nostrils and lipsare sore. There may be a discharge from both nose and eyes whichis yellow and acrid. There is thirst, but drinking causes pain.The nostrils are sore, and there is constant desire to bore thefinger into the nose. The nose may be completely stopped up, andat the same time there is a fluent acrid discharge. Drowsinessand an inclination to sneeze accompanies. **Lycopodium hascomplete stoppage of the nose night and day, with some discharge,which may be excoriating. Dryness posteriorly and dischargeanteriorly is also characteristic of **Lycopodium.#Gelsemium. [Gels]This remedy is often underestimated in the early stages of coldin the head. It will break up a cold at the beginning quickerthan any other remedy with these indication: Fullness of thehead, hot fever and chilliness, as if a cold were coming on. Thepatient is dull and weak, chills run up and down the back, with awatery, excoriating, or bland discharge form the nose andsneezing. There is also a marked inclination in the patient tohug the fire. Colds brought on by warm relaxing weatherespecially indicate **Gelsemium, hence it seems to be most usefulin spring and summer weather, and corresponds well to some
epidemic colds. There is a predisposition to take cold on anychange of the weather. It has been found specially useful ininfluenzas with fever.It is a remedy that must be used early in the cold.The IX dilution will often suffice.**Lachesis is often suitable for spring colds and catarrhs, withsensitiveness of throat.**Quillaya. In the incipiency of a cold, with very sore throat,this remedy has been found to be of signal use.**Sepia. Colds at onset of menstruation.#Nux vomica. [Nux-v]The first stage of ordinary cold in the head may be met by **Nuxvomica, when it is brought on by damp, cold weather, or fromsitting on damp, cold steps; associated with sneezing and stuffedup feeling in the nose. The nose is dry, there is very littledischarge, the eyes water, and there is scraping in the throat,and dullness and oppression about the front sinuses; it should begiven as soon as dryness and tickling in the nose begins; thenasal passages are alternately free and obstructed. Thesesymptoms are worse in a warm room and better in the open air. Itis of little use after the cold is established.**Mercurius is similar, having rawness and soreness in the nose,but it is especially aggravated in damp weather.**Pulsatilla is more for a ripe cold, and Arsenicum also has heatand burning in the nose, but the coryza is relieved by warmth andaggravated by cold, which is opposite of **Nux. Another symptomindicating **Nux is a fluent coryza during the day and a stuffedup sensation at night.#Mercurius. [Merc]There is a profuse coryza which extends to the frontal sinuses,burning in eyes and nose, acrid discharge, violent sneezing, andtendency to perspiration which aggravates. When a cold beginswith coryza, **Mercurius is a valuable remedy.**Kali iodatum has great distress in frontal region, worse at 3A.M. **Mercurius is especially aggravated in damp weather and thecoryza is worse by heat of stove room; nose is sore; wiping noseis painful. Thin watery discharges belong to **Allium cepa,Euphrasia, Arum triphyllum and Arsenicum.The Mercury discharge is thin mucus, not thick as in**Pulsatilla, Hydrastis, and some other drugs, or it may beyellowish green in color.
#Pulsatilla. [Puls]**Pulsatilla is more indicated in an advanced stage of cold inthe head, what is known as ***a ripe-cold, hence it should not begiven at the beginning of a cold, for it is never indicated.There is no sneezing or excoriating discharge with **Pulsatilla.The discharge is thick, yellow, muco-purulent, and, above allbland. **Penthorum sedoides. Coryza with raw nose and throat;later it has the thick, yellow discharge of **Pulsatilla, but thekeynote of this remedy is a sensation of wetness in the nose.**Hydrastis is also similar to Pulsatilla, but there is noburning and rawness and tenacity to the discharge; sensation of ahair in the nostrils; constant desire to blow the nose, whichfeels raw and excoriated; the cold has settled in the back of thenose and throat. This remedy alone will cure more sinusites thanany remedy because it is more often indicated. Thick, yellow,tenacious mucus in posterior nares, more distinctly yellow than**Kali bichromicum and profuse. If you have a **Pulsatilla cold,and in addition to it you have sneezing, give Cyclamen, also forattacks of sneezing without a cold.**Chromico-kali-sulphuricum in the 2X or 3X is highly recommendedin chronic rhinitis.With the **pulsatilla cold there is usually loss of smell andtaste, and there is relief in the open air, even though thepatient be chilly.**Magnesia muriatica. Loss of taste and smell after catarrh.**Drosera suits the last of colds with a cough coming on by fits.#Camphora. [Camph]First stage of cold in the head when nose is stopped up and isdry, and the inspired air feels cooler than usual. It will oftencheck an incipient cold when the chill is first felt, and is auseful remedy in chronic or rather paroxysmal coryzas, whichoccur upon every change ;of weather; it may be used by olfaction.The patient feels chilly, frontal sinuses involved, dullheadache.Increased secretion of watery mucus from nose, with and withoutsneezing.It really comes in along with or even before **Aconite, but ithas not the wide range of application that **Aconite has.#Kali iodatum. [Kali.i]Thin, excoriating and very profuse, scalding discharges from thenose and coryzas, which involve the frontal sinuses and antra ;ofHighmore in scrofulous or mercurialized individuals, with
profuse, watery discharges, call for this remedy.The eyes smart, lachrymate and become puffed.The throat is irritated and the no;se is apt to be red.**Kali bichromicum. Discharge tough and stringy, sometimesextending to throat, causing choking.It often follows **Aconite well, catarrhs involving wholerespiratory tract.It is a frequently indicated remedy in chronic nasal catarrh,hypertrophic rhinitis, first fluent acrid coryza relieved bywarmth, then tough, stringy, discharge; wants to blow nose; nodischarge; feeling of dryness in nose.**Lemna minor. Putrid smell, putrid taste. Nasal polypi,atrophic rhinitis, glairy mucus, post-nasal discharge.#Natrum muriaticum. [Nut.m]Colds with watery, transparent discharges, causing vesiculareruptions about mouth and nose, with watery, clear frothydischarge, worse on going into colds air and on exertion; greatdryness of posterior nares. There is entire loss of taste. Thisis the Schuessler remedy for coryzas, the watery exudations beingthe biochemic indication for coryzas, the watery exudations beingthe biochemic indication for its use.Dropping of mucus from naso-pharynx in the morning.It also removes the tendency to take cold.**Sticta. Constant desire to blow the nose, though nothingescapes; stuffed feeling at root of nose.The leading and most annoying symptom is dryness of the mucousmembrane of the nose (**Senega), secretion dries rapidly, formingscabs difficult to dislodge. Clarke considers **Natrum muriaticumone of the most valuable remedies we possess for colds. The useof salt baths by the old school and the popular use of salt foodwould seem to verify this observation.#Dulcamara. [Dulc]Dry coryza renewed by slightest exposure, worse after gettingwet, in the open air and at night.It suits especially torpid phlegmatic constitutions, those whotake cold when the weather changes to a lower temperature, and soit becomes of great use in nasal catarrhs and influenzas ofautumn.The **Nux coryza is worse in the house and better in the openair, which will easily distinguish.Colds which come on from change of weather and gradually involvethe whole respiratory tract may indicate **Dulcamara.
"Cold sores" may accompany the colds. Colds which come onsuddenly, with a discharge dropping at times like clear waterfrom the nose, should call for **Calcarea and it will be found ofgreat service.**Sanguinaria nitrate. Acute colds with sneezing, profusedischarge, burning and rawness in posterior nares.**Chronic catarrh, thick, yellow discharge, with much burning andirritation, husky voice must clear throat before speaking.=COLIC.#Colocynth. [Coloc]This remedy is specific in colic in gouty and rheumatic subjects, whenthe well-known griping pains forcing the patient to bend double orpress something hard into the abdomen are present. It is a coliccaused by flatus, undigested food or cold, or perhaps some violentemotion such as a fit of anger There may be present diarrhoea, and thegriping is with and preceding the same and emission of flatus or stoolwill relieve the colic. It is also a most useful remedy in menstrualor vesical colic, but in all the forms of colic to which **Colocynthis applicable it is necessary that the nervous element predominateover the inflammatory. Indeed, it is of little use in inflammatorycolic.**Aconite. Inflammatory colic forcing patient to bend double, but norelief therefrom, it is only in the nervous form that pressurerelieves.**Veratrum album. Pains forcing patient to bend double, must walkabout for relief, cold sweat. Painful distention of the abdomen andconstipation .Flatulent eructation and sickness of the stomach.**Magnesia corbonica. Griping, colicky pain, doubling patient up,but accompanied with green, slimy stools, after eating fruit orvegetables.**Causticum. Sometimes of use after **Colocynth fails.#Dioscorea. [Dios]Pain about umbilical region, continuous and constant, and associatedwith paroxysms of great intensity, flatulent spasms,so-called,relieved by stretching the body out rather than by bending double.Bilious, rheumatic and neuralgic colics. Pains radiate to chest andback; it is a most valuable remedy in certain forms of dyspepsia whichare marked with much colicky pain. **Dioscorea is most useful inpainful enteralgias which are relieved by bending backwards. The
Eclectic School uses this remedy for gall stones, claiming that it isalmost specific. It is usually given in doses of 20 to 40 drops in 4ounces of water, a teaspoonful every 30 minutes to two hours. It seemsto relax the circular muscular fibres of the duct.#Nux vomica. [Nux.v]Haemorrhoidal colic or colic from accumulation of flatus,pressing upand down ; spasmodic colic from flatulence. Deep seated hypogastricpain, abdomen hard and drawn in, not distended. Colic from dieteticerrors or in brandy o coffee drinkers; pains worse on motion, painspinching and contractive, griping as if intestines were rubbed betweenstones.**Pulsatilla. Colic with chilliness from pastry or rich food, loudrumbling and gurgling in abdomen. Flatulent colic of hystericalfemales and colics of pregnant women, accompanied with a frequentdesire to urinate.#Chamomilla.Suits especially colic in women and children. Colic with hot cheeks,red face and perspiration preceding an attack of intestinal catarrh.Colic form anger, worse from warmth, flatulent colic. There is atonyof the digestive apparatus and digestion is at a standstill; theneuralgia is peripheral and the abdomen distended like a drum. Itseems as if places in the abdomen would break through.**Staphisagria. Colic from anger or following abdominal operations.**Belladonna. Colic of infants is well met by **Belladonna. Thechild bends backwards and screams, and the transverse colon protrudeslike a pad. There is congestion of the intestines. It is rather anenteritis than an enteralgia.#Ipecac. [Ip]Griping colic like a hand clutching the intestines, cutting painsshooting across abdomen from left to right, after acid or unripefruit. The colic is worse by motion and better during rest.#Cocculus. [Cocc]Nervous colic, worse at night, accompanied by flatulence , butdischarge of flatus gives no relief, as more is constantly formed.Same pain in right hypochondrium, worse bending forward. Constipationis an accompaniment.Menstrual colic, pain in lower part of abdomen with a disposition torelapses.Hysterical colic.**Ignatia. Attacks of colic in hysterical people, waking them out of
sleep; colic from grief.#Plumbum. [Plumb]Abdominal pain radiating in all directions, walls drawn in; this,however, is not essentially a nervous colic. There are cramps in thelegs and obstinate constipation accompanies, but not flatulence. Theabdomen is as hard as a stone, sensation as if the abdominal wall weredrawn to back by string, better from rubbing and hard pressure. Leadproduces one of the most violent colics of any drug and this colic issometimes difficult to cure.**Opium. Almost specific for lead colic.Other remedies in lead colic, are **Belladonna, Alumina, Alum, Platinaand Nux.#Cuprum. [Cupr]Inflammatory colic, abdomen hard; violent spasms of colic as if aknife were thrust into abdomen. Greatly aggravated by drinking coldwater. The pains are violent, intermitting with great uneasiness andscreaming.**Cuprum arsenicosum is a valuable remedy for violent enteralgias.**Stannum. Colic in young children relieved by pressure.=CONSTIPATION.#Nux vomica. [Nux.v]Perhaps no remedy in the Materia Medica is oftener prescribed foranything than is **Nux vomica for constipation. **Nux vomica haspeculiar and characteristic indications for constipation, and whenprescribed upon these indications it will cure every time.Nothing is surer than this. But **Nux vomica is often prescribed whenthese indications are not present, and often does much good; in thisclass of cases there will almost invariably be present one of thegreat clinical indications of the remedy, and that is, its value in***antidoting purgative medicines. In many cases of inveterateconstipation calling for this,that,and the other remedy, it will benoticed that expected results are not obtained and will not beobtained and will not be obtained until **Nux vomica has been given toantidote the effects of drastic medicines.Then the case can be prescribed for, the indications followed, andsuccess result. Another thing about **Nux is the fact that whileprescribed low, as in the tincture, it will frequently relieveconstipation, but to cure it the drug must be given in a much higherpotency.
**Hydrastis is another remedy that is sometimes useful after the abuseof purgatives, laxatives, cathartics and their like.In all these cases, however, the symptoms calling for the respectivedrug should be present. Hughes claims it to be superior to **Nux asusually prescribed. He recommends a drop or two of the tincture inwater once daily before breakfast. **Hydrastis has a symptom,however, which is quite characteristic, that is a ***sinking, gonefeeling at the epigastrium, which **Nux vomica does not have to anyextent. The constipation of **Nux vomica is usually of the kindinduced by lazy habits, inattention to Natures calls in the firstplace, want of exercise, sedentary habits, and a sluggish condition ofthe whole system. It is due not only to inactivity of the wholesystem. It is due not only to inactivity of the intestines, but to anirregularity of the peristaltic actions, giving rise to the greatcharacteristic, ***constant ineffectual urging to stool, and when thestool does occur it is incomplete and unsatisfactory, as if a partremained behind. Absence of desire for defecation contra-indicates**Nux. Inflammatory symptoms or pain generally contra-indicates.Carbo vegetabilis has urging, but it is due to wind, while **Opium andBryonia have no urging at all.According to dEspiney, the physical signs of this inharmoniousintestinal action can be felt by palpating the abdominal walls.**Anacardium resembles **Nux vomica in many ways. It has a sensationof a plug in the rectum which cannot be expelled. There is a fitfulintestinal activity, but withal a powerlessness of the rectum. Evensoft stools are expelled with difficulty. Small quantities may beexpelled with each attempt. The mental symptoms of **Nux are importantin treating constipation, for the effect that constipation has uponthe minds of some people is well known. In cases indicating **Nuxvomica there will be a great crossness, irascibility and objection toall opposition. The **Nux stool is also apt to be large, andhaemorrhoids are a frequent accompaniment. We may sum up **Nux vomicaby calling again the attention to the mental characteristics, thesedentary temperament,the fitful intestinal action and its antidotalrelation to purgative drugs.Dr. Cartier,of Paris, well says: **"Nux vomica should never be givenin constipation according to the law of similars in the lowattenuations, or in the mother tincture. An opposite effect will beproduced thereby, an augmentation of the spasmodic state of theintestines; the higher the dilution the better the chance success.Nor should it be too often repeated."
#Sulphur. [Sulph]Many of the older homoeopaths used to give Sulphur and **Nux vomicain alteration for constipation. They complement each other, followeach other well, but better results will be obtained if each be givensingly when indicated; for, surely, both cannot be indicated at once.With **Sulphur there is an ineffectual urging to stool, with asensation of heat and discomfort in the rectum , and there is ageneral uneasy feeling all through the intestinal tract, due toabdominal plethora or passive portal congestion.It is very useful remedy with which to commence the treatment ofconstipation, though, unless the symptoms call for it, it should notbe given.A bad constitution and frequent ill health are good indications tostart with, a tendency to piles is another.The stools are hard, dark, dry, and expelled with great straining,the first effort to stool being extremely painful. There is apt to bemuch twitching and burning of the anus, the evacuation are oftenunsatisfactory, and, as in **Nux, there is often a sensation as if apart remained behind. Another characteristic symptom of Sulphur isconstipation alternating with diarrhoea.The general temperament of the drug has much to do with its choice;in fact, almost all of the indications for its use will be thegeneral ones . The general venous system is usually at fault in true**Sulphur cases, and anything that stimulates this system intoaction, such as exercise and cold, always benefits the Sulphurpatient.**Sulphur needs to be given high and n continued for any length oftime .#Opium. [Op]While the constipation of **Nux is due to irregularity of intestinalaction, that of **Opium is due to absolute inaction of the intestines,a regular paralysis of the peristaltic movement.There is an absence of desire, absolutely no urging to stoolwhatever, and so the faeces become impacted in the bowels; and whenpassed at all come in little, hard, dry, black balls, here resemblingthe stool of **Plumbum , but with Plumbum there is some activity.Another drug which has no urging to stool is Bryonia, but here thelack of urging is rather due to dryness of the mucous membrane than tointestinal inactivity; with **Opium there is a want of sensibilitythroughout the intestinal tract, and consequently the constipation isnot apt to inconvenience the patient, hence it is apt to go on gettingworse until the attention is called to it by the flatus accumulatingin the upper part of the intestines. Where the faeces require
artificial means for their removal, this remedy should be thought of,though **Selenium, Alumina, Plumbum or Bryonia may be used in thiscondition.Diminished secretions are also characteristic of **Opium , so thatdryness intestinal inactivity, is one of the causes of constipation ofold people; the patient is drowsy and dizzy.#Plumbum. [Plumb]As we have already seen, with **Plumbum there is some intestinalaction; in fact, at times there is considerable. Lead colic is one ofthe effects of the drug. So we have urging to stool, and accompanyingthis urging is a colic with a marked retraction of the abdominalwalls. The stool is passed with the greatest difficulty and consistsof little round balls, which are black, dry and hard, and there isaccompanying, a marked spasm of the sphincter ani which is apt to bepainful.The anus feels as if drawn upward. With this drug there is loss ofmuscular activity and diminished secretion of intestinal glands.Thus we see that the indications for **Plumbum in constipation areconcise and precise.#Alumina. [Alum]Chief among remedies for constipation due to dryness of the intestinaltract stands **Alumina.There is diminished peristaltic movement and complete inertia of therectum, so that we have the symptom, soft stool expelled withdifficulty, explained.There is little or no urging to stool.The stools may be hard and knotty like sheep dung, or may be soft.It is one of our most useful remedies in constipation of childrenwhere the rectum is dry, inflamed and bleeding about the orifice.**Alumina differs from **Bryonia chiefly in the state of rectalinactivity. A dry mouth and an irritated looking tongue may lead tothe selection of **Alumina.There is much straining with the remedy and the stool is passed invery small quantities , piecemeal, so to speak.If the characteristics of Alumina are prominent in a given case, theymay be due to the use of aluminum ware in cooking.Even Spring water boiled in an aluminum pot will deposit a whitesediment on cooling.#Bryonia. [Bry]The large-hard-dry-stool-as-if-burnt of **Bryonia is familiar to allof our Medical School. The constipation of the drug is due to dryness
and there is no urging. **Alumina is similar; its constipation isalso due to dryness, but it has such complete inactivity of the rectumthat even a soft stool is expelled with difficulty. With **Bryonia thestools are passed with a great deal of difficulty, owing to an atonyof the intestines similar to **Veratrum album and **Opium. **Nux, aswe have seen, produces and cures constipation due to fitful,irregular, peristaltic action.**Bryonia cures constipation where not only the intestinal secretionsare diminished, but the muscular action as well.Constipation in young children, according to Hughes, is frequentlycured by Bryonia 30th. It is said to act better in rheumatic subjectsand in summer.The mental condition of irritability and ill-humor will often bepresent as a concomitant of the **Bryonia constipation.Older writers alternated **Bryonia and **Nux vomica with success invery obstinate cases.#Natrum muriaticum. [Nat-m]All the muriates have crumbly stools, and so we find that thecharacteristic constipated stool of **Natrum muriaticum is a hard andcrumbly one; the rectum is dry, the stool is hard to expel and causesbleeding, smarting and soreness in the rectum.There is ineffectual urging to stool,with stitches in the rectum. Itsometimes comes in the most obstinate cases, which are accompanied byhypochondriasis.**Magnesia muriatica, another of the muriates, has characteristicallya constipation in which the stools are passed with great difficulty,being composed of hard lumps like sheep dung, which are so dry thatthey crumble as they pass the anus. **Ammonium muriaticum has thissame symptom of dry and crumbly stools, they may also be coatedexternally with mucus. In constipation of young people who aresubjected to acne and comedos, **Natrum muriaticum should be thoughtof.#Lycopodium. [Lyc]Like **Nux, Lycopodium has a sensation after stool as if somethingremained behind. Constipation, due to constriction of the rectum,calls for this remedy, and here it reminds one of **Silicea.The constipation , too, is apt to be associated with the stool.The stools are dry and hard, or the first part hard, the last soft.In the constipation of children and pregnant women it often finds aplace, and it is here praised by Hartmann. A great deal of rumbling inthe abdomen following the stool is an additional indication. **Nux andLycopodium may be easily distinguished , though each has ineffectual
urging to stool. In **Nux, as ,we have seen, this is due to irregularperistaltic action, while with **Lycopodium it is due to aconstriction of the rectum. The mental symptoms here, too, are of theutmost importance; the depression, the melancholy and the apprehensionare characteristic.#Graphites. [Graph]Graphites is one of our best remedies in constipation, if Homoeopathycan be said to have "best remedies". With this drug there is nourging. The patient sometimes goes days without a stool, and when itdoes come it is composed of little round balls, knotted together withshreds of mucus and accompanied with great pain when passing, owing tothe fissure. These fissures, as well as the haemorrhoids whichaccompany them, burn, smart and itch intolerably. Excessive sorenessof the anus in making the post defecation toilet is an indication forits use. Three or four remedies are usually to be thought of in thiscondition of fissure of the anus; they are: **Silicea, Nitric acid,Paeonia and Ratanhia; these, with **Graphites, will remove in mostcases the underlying disease leading to the fissure. Aching of theanus after stool is also characteristic of **Graphites, and sometimeswe have with the drug ineffectual urging. The mucus-coated stool, theextreme soreness of the anus, the general **Graphites temperament ofsadness and obesity, will easily decide for the remedy. **Graphitessuits especially women who suffer from a neglect to attend promptly tonatures call.#Platina. [Plat]With Platina, there is torpor of the whole intestinal tract,unsuccessful urging to stool and great dryness of the rectum. Thestools seem to adhere to the rectum like glue or putty. There isgreat weakness in the abdomen and a sensation as if there were a loadin the rectum which could not be expelled. It is considered a remedyfor the constipation of emigrants and travelers, so it would seem tofind an additional indication where the trouble was brought on bychange in manner of living. It is alsoa remedy for the constipation due to lead poisoning. There isfrequent urging, scanty, dry stool and great abdominal weakness. Asunder **Ignatia, there are sharp stitches in the rectum.#Silicea.When constipation is due to inefficient expulsive force of the rectumand a spasmodic condition of the sphincter then Silicea is our remedy.With this condition we have a condition where the sphincter suddenlycontracts and the partially expelled stool recedes.
**Causticum has constipation due to powerlessness of the rectum, sothat the patient almost stands in order to enable him to getsufficient power to expel the stool, but the spasmodic condition ofSilicea is absent. As with **Graphites, Silicea has a great deal ofsoreness about the anus, also an oozing of moisture. There is urgingto stool and a sensation as if faeces remained in the rectum.#Veratrum album. [Verat]Though this remedy is ;one of our greatest diarrhoea remedies, it hasa marked effect in the treatment of constipation. The symptoms callingfor its use are as follows: There is complete atony of the intestines,as under **Bryonia and Opium.The faeces accumulate in large masses in into a sweat; but finally hasto give it up, and the faeces have to be removed by artificial means.There are extreme cases where the patient is able to force a passagefor himself; the stools are large, hard and black. As with thediarrhoea there may be faintness after the stool.Dunham speaks of the constipation of **Veratrum as one characterizedby a disposition to stool in the upper part of the intestinal canaland an indisposition to stool in the lower part. Dr. Bryce claims thatit will bring stool quickest of any medicine I ever tried." He used3x. It comes in very well after **Nux vomica, especially inconstipation of children.**Podophyllum 12th has proved of use in constipation of children. Ofcourse, the above remedies will not cure every case of constipation,but they will, if studied closely, be found to correspond with themajority of cases.**Phosphorus has a constipation of long slender stools voided withmuch straining.=COUGHS#Phosphorus. [Phos]The cough of **Phosphorus arises from irritation in the trachea. It istickling which is lower down than the irritation calling for**Belladonna It is made worse by talking or using the voice; in fact,any change in breathing causes the cough. It is at first dry and tightand then with expectoration of tenacious purulent mucus. It is worsefrom a ***change to cold air, the chest feels dry, and the coughsounds and there is a constriction across the upper part of the chest.Continued hoarsensess with a distressing, dry cough. It is alsoa remedy for stomach or hepatic coughs, anaemic coughs, and inreflex coughs, being here similar to **Ambra grisea.
**Ignatia is useful in nervous coughs, in which the more the patientcoughs the greater the irritation to cough. **Sticta has this symptom,but it is not nervous in origin.**Ambra grisea is useful in nervous coughs followed by eructationof wind. Reflex coughs rather than those of organic lesions of therespiratory organs. **Phosphorus follows **Belladonna well.**Belladonna relieves the soreness, tenderness and fever, but thehoarse, rough voice yields to phosphorus.A dry cough is an important indication for **Belladonna.#Rumex crispus. [Rumex]This remedy has a dry cough from tickling in the supra-sternal fossa.It is a laryngo-tracheal cough which is teasing and persistent, andis aggravated by cold air. The patient has to cover the head with thebedclothes and breathe warm air to stop the cough. Deep inspirationaggravates it. It suits incessant fatiguing fatiguing coughs, withsoreness behind the sternum, and much tough mucus in the larynx whichcannot be hawked up.It suits the night coughs of consumptives where there are sharp,stitching pains through the lungs in the early stages.**Silicea has a similar cough, worse from cold drinks, worse fromspeaking and worse from lying down at night.#Bryonia. [Bry]The cough of **Bryonia is generally dry and concussive. It seems tocome from the region of the stomach, and is preceded by a tickling inthe epigastrium. During the cough the patient holds the sides of thechest with his hands, as the sough not only shakes the chest, but alsohurts distant parts of the body. It is induced also by coming from theopen air into a warm room and is accompanied by bursting headache. Theexpectoration is scanty, tough and sometimes bloody.**Natrum carbonicum. Cough worse in a warm room, with a purulentsalty and greenish expectoration.**Asclepias tuberosa. Loose cough, with stitching pains in thechest, a looser cough than the Bryonia cough, and the patient is more"broken up" with the cold.#Spongia. [Spong]This remedy suits a hard, barking, ringing, metallic sounding cough,which is worse from deep breathing and excitement, often arousing thepatient out of sleep with a suffocative feeling. There is usually noexpectoration; it suits, therefore, oftentimes the dry , racking coughof chronic bronchitis.**Sambucus. Useful in suffocative coughs of children where there is
rough wheezing with great dyspnoea; patient can only breathe with themouth wide open.#Hyoscyamus. [Hyos]The cough of this remedy is dry, nervous and spasmodic, occurs atnight and ceases after sitting up. This is characteristic of the drug;the **Belladonna cough may compel the patient to sit up, but norelief is obtained. Hyoscyamus is a wonderfully calming remedy in thenight coughs of consumptives.**Manganum has a cough that is always better on lying down, onlytroublesome when sitting up.**Conium. This remedy has a tormenting dry cough, worse lying down,worse in the evening and at night. Speaking or laughing alsoaggravates the cough. The irritation is in the trachea or upperbronchi.**Opium has a difficult cough, especially tormenting at night, with ascanty expectoration. Burt testifies as to its utility in dry spasmodicnightly coughs that prevent sleep, with no expectoration.**Laurocerasus is a very beneficial remedy in the dry, teasing coughof consumptives.**Aralia racemosa cures a spasmodic cough coming on at night after thefirst sleep, caused by tickling in the throat and constriction ofchest; has to sit up and cough violently.**Naphthalin. Dr. Cartier recommends this remedy highly in spasmodiccoughs, due to an acute laryngo-tracheitis.#Sanguinaria. [Sang]This is one of our best remedies in dry and humid coughs followinginflammation. It is especially useful in the pre-tubercular stage ofphthisis. Brigham says that few remedies have proved equal to**Sanguinaria for bronchial coughs. It is usually a dry cough excitedby tickling in the larynx and upper chest. The expectoration is rustcolored and the breathe may be offensive. Again, it may have a loosecough, but the secretion of mucus is expectorated with greatdifficulty, here being like **Kali bichromicum. Holcomb says: " It hasdone me more good in pulmonary diseases than any other single remedy."Almost any cough with a ***hectic flush and dryness of the throat willyield to **Sanguinaria.#Antimonium tartaricum. [Ant.t]With this remedy the cough sounds loose and the patient feels surethat the next cough will raise the mucus; but it does not , no phlegmis raised. There is drowsiness accompanying the cough and the dyspnoeaincreases. Bayes says that the 3d and 6th potencies harden the cough,